Josephus Jamora, PT

Individual provider Active NPI Physical Therapist · Hernando, FL

NPI 1225347487 · NPPES record last updated Oct 5, 2010

Key facts

NPI
1225347487
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT 25878 (FL)
Practice address
2679 N Forest Ridge Blvd
Hernando, FL 34442-5123
Phone
(352) 746-2371
Fax
(352) 746-3729
NPI assigned
Oct 5, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT 25878FLMDPhysical Therapist

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
TLC Rehab, LLC Physical Therapist Past Accepting new patients
Nature Coast Orthopaedics & Sports Medicine Clinic, PA Past Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 25878 FL Yes

Addresses

Primary practice location

2679 N Forest Ridge Blvd
Hernando, FL 34442-5123

Mailing address

8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (352) 382-1141

Other providers in Hernando, FL

All providers in Hernando, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.